Healthcare Provider Details

I. General information

NPI: 1831481670
Provider Name (Legal Business Name): LINDA GARCIA RRW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2011
Last Update Date: 05/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530 3RD ST SUITE 212
LINCOLN CA
95648-1562
US

IV. Provider business mailing address

406 SUNRISE AVE SUITE 310A
ROSEVILLE CA
95661-4106
US

V. Phone/Fax

Practice location:
  • Phone: 916-434-8927
  • Fax: 916-434-0678
Mailing address:
  • Phone: 916-797-8989
  • Fax: 916-797-8979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: